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Individual

MRS. JANICE LAUREL CLARK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMLP

Contact information

Practice address
2208 BROMFIELD CIR, WICHITA, KS 67226-1105
(316) 650-7221
Mailing address
2208 BROMFIELD CIR, WICHITA, KS 67226-1105
(316) 650-7221

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LMLP 904
KS

Other

Enumeration date
11/10/2009
Last updated
11/18/2010
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